Universal Wrist Brace with Enhanced Lacing

ABSTRACT

The present wrist brace includes an adjustable panel and an advantageous lacing configuration that provides a cast-like compression on a patient&#39;s forearm, wrist, and hand. Pulling the lacing mechanism equilibrates lace tension along the length of the wrist brace in a way that applies consistent compression to the patient&#39;s forearm and wrist.

CROSS-REFERENCE TO PRIORITY APPLICATIONS

This application hereby claims the benefit of pending U.S. Patent Application No. 62/257,941 for a Universal Wrist Brace with Enhanced Lacing (filed Nov. 20, 2015) and pending U.S. Patent Application No. 62/400,382 for a Universal Wrist Brace with Enhanced Lacing (filed Sep. 27, 2016), each of which is hereby incorporated by reference in its entirety.

This application hereby incorporates by reference U.S. patent application Ser. No. 15/355,587 (filed Nov. 18, 2016), including its appendices, and corresponding U.S. Patent Application Publication No. US 2017/0143526 A1 (published May 25, 2017).

FIELD OF THE INVENTION

The present invention relates to a wrist brace for immobilizing and protecting a patient's forearm, wrist, and hand.

BACKGROUND

Immobilizing a patient's forearm, wrist, and hand can promote healing of bone fractures and soft-tissue injuries (e.g., sprains), and so wrist braces and supports are often used for this purpose. Conventional wrist braces are designed to fit the typical patient with somewhat frustoconical forearms, whereby the arm tapers from the elbow to the wrist (i.e., narrower near the wrist and wider near the elbow). For patients with arm shapes that deviate from standard—especially obese patients or patients with muscular forearms—conventional wrist braces can provide a poor fit. If a patient with non-standard forearms tries to manipulate a conventional wrist brace to apply uniform pressure to the patient's forearm and wrist, straps for securing the wrist brace can wrap helically along—rather than circumferentially around—the patient's forearm, rendering ineffective the mechanism for securing the wrist brace to the patient. For example, hook-and-loop fasteners can become misaligned and thus ineffectual.

SUMMARY

The present wrist brace includes an advantageous lacing configuration that provides a cast-like compression on a patient's forearm, wrist, and hand to restrict flexion, extension, and lateral movement of the wrist joint. By pulling an improved lacing mechanism, tension in a lace equilibrates along the length of the wrist brace in a way that applies consistent compression to the patient's forearm and wrist.

Exemplary wrist braces (e.g., wrist-brace splints) include a support sleeve (e.g., a U-shaped support sleeve) and a connecting panel (e.g., a stretchable radius panel or a stretchable ulnar panel) that together form a closed wrist-brace sleeve, which is securely positioned around a patient's forearm. A tensioning strap, which extends from the support sleeve, is positioned between a patient's thumb and forefinger and is releasably secured to a size-adjustment panel positioned upon the closed wrist-brace sleeve. A lace is threaded through openings (e.g., eyelets) or other lace-redirection mechanisms positioned along one or more edges of the support sleeve, positioned on a lacing closure tab, and positioned on the size-adjustment panel. Regardless of the shape and girth of the patient's forearm, pulling the lacing closure tab circumferentially around the closed wrist-brace sleeve and thereupon releasably securing the lacing closure tab to the size-adjustment panel achieves a cast-like compression of the wrist brace to the patient's forearm and wrist.

In an exemplary wrist-brace embodiment, the wrist brace includes a U-shaped support sleeve having a dorsal section, a palmar section, and an ulnar section positioned between the dorsal section and the palmar section. The U-shaped support sleeve may be formed from flexible, low-stretch material to help stabilize the patient's forearm, wrist, and hand. One or more palmar lace-redirection mechanisms (e.g., palmar eyelets) are positioned at or near the U-shaped support sleeve's palmar section. A radius panel, which is typically stretchable and/or elastic, is secured to the U-shaped support sleeve's dorsal section and the U-shaped support sleeve's palmar section so that together the U-shaped support sleeve and the radius panel form a closed wrist-brace sleeve. An adjustable, outer dorsal panel is releasably affixed to the U-shaped support sleeve on or near the U-shaped support sleeve's dorsal section. One or more dorsal-panel lace-redirection mechanisms are positioned at or near the adjustable, outer dorsal panel. The wrist brace further includes at least one lacing closure tab having one or more closure-tab lace-redirection mechanisms (e.g., closure-tab eyelets). A lace, which has a first end fixed to the adjustable, outer dorsal panel nearer the adjustable, outer dorsal panel's proximal end and a second end fixed to the adjustable, outer dorsal panel nearer the adjustable, outer dorsal panel's distal end, is freely threaded though the respective dorsal-panel lace-redirection mechanisms, palmar lace-redirection mechanisms, and closure-tab lace-redirection mechanisms. This exemplary wrist-brace may include an oblique palmar-tensioning strap that extends from the distal end of the U-shaped support sleeve's palmar section. The oblique palmar-tensioning strap is positioned between a patient's thumb and forefinger and is releasably affixed to the U-shaped support sleeve and/or the adjustable, outer dorsal panel when the wrist brace is secured to the patient's wrist and forearm.

In another exemplary wrist-brace embodiment, the wrist brace includes a U-shaped support sleeve having a dorsal section, a palmar section, and a radius section positioned between the dorsal section and the palmar section. The U-shaped support sleeve may be formed from flexible, low-stretch material to help stabilize the patient's forearm, wrist, and hand. One or more palmar lace-redirection mechanisms (e.g., palmar eyelets) are positioned at or near the U-shaped support sleeve's palmar section. An ulnar panel, which is typically stretchable and/or elastic, is secured to the U-shaped support sleeve's dorsal section and the U-shaped support sleeve's palmar section so that together the U-shaped support sleeve and the ulnar panel form a closed wrist-brace sleeve. An adjustable, outer dorsal panel is releasably affixed to the U-shaped support sleeve on or near the U-shaped support sleeve's dorsal section. One or more dorsal-panel lace-redirection mechanisms are positioned at or near the adjustable, outer dorsal panel. The wrist brace further includes at least one lacing closure tab having one or more closure-tab lace-redirection mechanisms (e.g., closure-tab eyelets). A lace, which has a first end fixed to the adjustable, outer dorsal panel nearer the adjustable, outer dorsal panel's proximal end and a second end fixed to the adjustable, outer dorsal panel nearer the adjustable, outer dorsal panel's distal end, is freely threaded though the respective dorsal-panel lace-redirection mechanisms, palmar lace-redirection mechanisms, and closure-tab lace-redirection mechanisms. This exemplary wrist-brace may include a thumb-tensioning strap that extends from the distal end of the U-shaped support sleeve's radius section. The thumb-tensioning strap is positioned between a patient's thumb and forefinger, wrapped around the patient's thumb, and then securely and releasably affixed to the U-shaped support sleeve and/or the adjustable, outer dorsal panel when the wrist brace is secured to the patient's wrist and forearm.

The foregoing illustrative summary, as well as other exemplary objectives and/or advantages of the invention, and the manner in which the same are accomplished, are further explained within the following detailed description and its accompanying drawings and photographs.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1-5 are perspective views of an exemplary wrist-brace embodiment having an advantageous lacing configuration.

FIGS. 6-7 are perspective views of another exemplary wrist-brace embodiment having an advantageous lacing configuration.

FIGS. 8-12 are perspective views of yet another exemplary wrist-brace embodiment having an advantageous lacing configuration.

FIGS. 13-14 are perspective views of yet another exemplary wrist-brace embodiment having an advantageous lacing configuration.

DETAILED DESCRIPTION

The present wrist braces with improved lacing are described herein with reference to the accompanying drawings, which depict exemplary wrist-brace embodiments that should not be construed as limiting the scope of the invention. Rather, the exemplary wrist-brace embodiments are provided so this disclosure will be thorough and complete to convey to those having ordinary skill in the art the scope of the invention. In the accompanying drawings, like numbers refer to like elements.

As described herein, the terms “interior surface” and “inner surface” refer to a planar side closest to the patient's hand, and the terms “exterior surface” and “outer surface” refer to a planar side farthest from the patient's hand (i.e., an outer surface is opposite an inner surface).

The term “section” refers in context to a portion or an area of the wrist-brace sleeve. The term “dorsal” refers to the topside of the wrist brace or hand. The term “palmar” refers to the underside of the wrist brace or hand (i.e., the palm). The term “radius” refers to the inner side of the wrist brace, hand, and/or wrist (i.e., the thumb side of the forearm). The term “ulnar” refers to the outer side of the wrist brace, hand, and/or wrist (i.e., the side of the forearm opposite the thumb). The term “proximal” refers to the part of the wrist brace or hand that is closer to the patient's elbow, and the term “distal” refers to the part of the wrist brace or hand farther from the patient's elbow.

The terms “positioned” or “positioning” are used conventionally to embrace one element being fixed or releasably secured to another element. For example, a first element may be positioned against a second element (or positioned between second and third elements) by sewing, by hook-and-loop fasteners, or by other known mechanisms for physically attaching physical elements to each other. The terms “fixed,” “affixed,” and “secured” may include sewn, made integral with, adhered with adhesive, or bonded (e.g., fused with heat).

The terms “freely threaded” and “freely interlaced” are used herein in accordance with the wrist-brace embodiments depicted in FIGS. 1-14 to refer to a lace that is moveably connected to a lace-redirection mechanism, such as an eyelet, rather than fixedly attached to a lace-redirection mechanism. For example, as described herein, a lace that is “freely threaded” through a closure-tab lace-redirection mechanism, which is positioned on or otherwise formed through a lacing closure tab, can facilitate movement of the lacing closure tab along the lace.

FIGS. 1-5 depict an exemplary wrist-brace embodiment that can be readily adjusted to accommodate different patient forearm sizes. FIGS. 6-7 depict similar, but longer, exemplary wrist-brace embodiment that can be readily adjusted to accommodate different patient forearm sizes. Each wrist brace is configured for either a left forearm, wrist, and hand or a right forearm, wrist, and hand. Those having ordinary skill in the art will understand that a left-hand orientation is a mirror image of a right-hand orientation. FIGS. 1-7 illustrate a right-hand orientation. Appendix I includes photographs of an exemplary prototype of the universal wrist brace depicted in FIGS. 1-5, and Appendix II includes photographs of an exemplary prototype of the longer universal wrist brace depicted in FIGS. 6-7. The description of the shorter wrist-brace embodiment depicted in FIGS. 1-5 typically applies to the longer wrist-brace embodiment depicted in FIGS. 6-7, except as noted in the supporting description, figures, and photographs.

With reference to the exemplary wrist brace 10 depicted in FIGS. 1-5 (and, as noted, the related, longer exemplary wrist brace 10′ depicted in FIGS. 6-7), the wrist brace 10 includes a closed wrist-brace sleeve 12 defining an interior surface and an exterior surface. The closed wrist-brace sleeve 12 is formed by a stretchable radius panel 14 connected to a U-shaped support sleeve 20, which might also be considered a C-shaped support sleeve.

The U-shaped support sleeve 20 includes a topside dorsal section 22, an ulnar section 24, and an underside palmar section 26. The ulnar section 24 is contiguously positioned between the dorsal section 22 and the palmar section 26 to define the U-shaped support sleeve 20. The topside dorsal section 22 is positioned opposite the underside palmar section 26, and the ulnar section 24 is positioned opposite the stretchable radius panel 14. Typically, the U-shaped support sleeve 20, which opens to a patient's forearm radius, is substantially inelastic (e.g., formed from flexible, low-stretch material) to help stabilize the patient's wrist and hand.

As used herein, the term “elastic” generally refers to material that can be readily stretched or expanded, and then can return to its initial shape (i.e., elastic materials resist deformation by stretching), and the term “inelastic” generally refers to material that resists stretching and elongation. The U-shaped support sleeve 20 may be constructed of lightweight suede-like polymeric materials or other lightweight fabrics (e.g., nylon or PVC) having excellent strength and durability. The interior surface of the U-shaped support sleeve 20 may be enhanced with nonwoven polymeric materials (e.g., nonwoven polyolefins), such as felt fabric, to provide cushioning and support.

The stretchable radius panel 14, which may be cushioned for the patient's comfort, is affixed to both the U-shaped support sleeve's dorsal section 22 and the U-shaped support sleeve's palmar section 26, thereby closing the gap in the U-shaped support sleeve 20 to form the closed wrist-brace sleeve 12. In addition, the stretchable radius panel 14 is typically positioned within the gap in the U-shaped support sleeve 20 to define both an outer dorsal strip 23 and an outer palmar strip 27. More specifically, the outer dorsal strip 23 is defined by the stretchable radius panel 14 and an adjacent outer edge of the U-shaped support sleeve 20, and the outer palmar strip 27 is defined by the stretchable radius panel 14 and an adjacent outer edge of the U-shaped support sleeve 20.

Exemplary wrist braces according to the present invention can include one or more size-adjustment panels to accommodate different patient forearm shapes and sizes. For example, as depicted in the exemplary wrist braces depicted in FIGS. 1-7, an adjustable, outer dorsal panel 50 (e.g., a size-adjustment panel) is positioned upon the U-shaped support sleeve 20 at or near the U-shaped support sleeve's dorsal section 22. Typically, the adjustable, outer dorsal panel 50 is releasably affixed to the exterior surface of the U-shaped support sleeve 20 (e.g., via hook-and-loop fasteners, such as VELCRO-brand fasteners). Patients can readily change the positioning of the adjustable, outer dorsal panel 50 upon the U-shaped support sleeve 20 to accommodate different forearm sizes. For example, in the exemplary wrist braces depicted in FIGS. 1-7, positioning the adjustable, outer dorsal panel 50 laterally toward the patient's index finger functionally enlarges the wrist-brace fitting size, whereas positioning adjustable, outer dorsal panel 50 laterally toward the patient's ring finger functionally reduces the wrist-brace fitting size. To facilitate this, one or more dorsal-panel eyelets 52 (or similar openings, such as reinforced holes and/or slots, or other dorsal-panel lace-redirection mechanisms, such as loops, hooks, folded webbing, and/or buckles) are formed through or otherwise positioned at or near (e.g., positioned upon) the adjustable, outer dorsal panel 50.

In alternative embodiments, an adjustable, outer palmar panel (e.g., a size-adjustment panel) can be employed instead of (or in addition to) an adjustable, outer dorsal panel 50. An adjustable, outer palmar panel (not shown) is positioned upon the U-shaped support sleeve 20 at or near the U-shaped support sleeve's palmar section 26. Typically, the adjustable, outer palmar panel, which can include a conforming palmar-panel stay, is releasably affixed to the exterior surface of the U-shaped support sleeve 20 (e.g., via hook-and-loop fasteners, such as VELCRO-brand fasteners). Patients can adjust the positioning of the adjustable, outer palmar panel upon the U-shaped support sleeve 20 to accommodate different forearm sizes. Similarly, an adjustable, outer ulnar panel (not shown) can be positioned upon the U-shaped support sleeve 20 at or near the U-shaped support sleeve's ulnar section 24.

An oblique palmar-tensioning strap 16 extends from the distal end of the U-shaped support sleeve's palmar section 26. The oblique palmar-tensioning strap 16 is positioned between the patient's thumb and forefinger (i.e., near the thenar space) and then securely and releasably affixed to the U-shaped support sleeve's dorsal section 22 and/or adjustable, outer dorsal panel 50 (e.g., via hook-and-loop fasteners, such as VELCRO-brand fasteners). The oblique palmar-tensioning strap 16 helps to position and secure the wrist brace 10 to the patient's wrist and forearm. An optional palmar pad 18, which is positioned at the transition between the U-shaped support sleeve's palmar section 26 and the oblique palmar-tensioning strap 16, provides the patient with enhanced comfort and support.

The U-shaped support sleeve 20 and the adjustable, outer dorsal panel 50 can include stabilizing members to limit flexion and extension. In the exemplary wrist-brace embodiments depicted in FIGS. 1-5 and FIGS. 6-7, a longitudinal stiffening dorsal-panel stay 54 is internally secured within outer dorsal panel 50, and a longitudinal stiffening palmar stay 29 is internally secured within the U-shaped support sleeve's palmar section 26. As shown in FIG. 2, the palmar stay 29 conforms to the shape of the patient's forearm, wrist, and palm. In some wrist-brace embodiments, such as depicted in FIG. 3, a longitudinal stiffening dorsal stay 28 may be internally secured within the U-shaped support sleeve's dorsal section 22. In addition, a longitudinal ulnar stay (not shown) can be internally secured within the U-shaped support sleeve's ulnar section 24. Including stays on two or more sides of the wrist brace (e.g., a wrist brace having a palmar stay, a dorsal stay, and an ulnar stay) protects against impact forces and helps reduce the likelihood of reinjuring the patient's wrist and hand.

The stabilizing members (i.e., stays) may be formed from metals, alloys, plastics, or other materials providing sufficient rigidity to resist movement and retain a desired shape while maintaining adequate adjustability for wear on the forearm, wrist, and hand. Typically, the stabilizing members are made of aluminum. In some embodiments, the stabilizing members can be manually adjusted to conform to the shape of the patient's forearm, wrist, and/or palm. Adjustable stabilizing members are sufficiently rigid to resist movement of the U-shaped support sleeve's distal end relative to the U-shaped support sleeve's proximal end and are sufficiently strong to provide protection against forces acting against the wrist brace (e.g., impact forces). The stabilizing members (i.e., stays) may be permanently secured within the wrist brace (e.g., an internally secured permanent stay) or may be positioned within pockets formed in the U-shaped support sleeve to facilitate placement and removal of the stays (e.g., an internally secured removable stay). Alternatively, the stabilizing members might be externally secured to the U-shaped support sleeve.

Palmar eyelets 37 (or similar openings, such as reinforced holes and/or slots, or other palmar lace-redirection mechanisms, such as loops, hooks, folded webbing, and/or buckles) are formed through or otherwise positioned at or near (e.g., positioned upon) the U-shaped support sleeve's palmar section 26 (e.g., at the outer palmar strip 27). The shorter exemplary wrist brace 10 depicted in FIGS. 1-5 includes four palmar eyelets 37 a, 37 c, 37 e, 37 g. The longer exemplary wrist brace 10′ depicted in FIGS. 6-7 includes six palmar eyelets 37 a, 37 c, 37 e, 37 g, 37 i, 37 k. Though not depicted in these embodiments, one or more dorsal eyelets (or similar openings, such as reinforced holes and/or slots, or other dorsal lace-redirection mechanisms, such as loops, hooks, folded webbing, and/or buckles) can be formed through or otherwise positioned at or near (e.g., positioned upon) the U-shaped support sleeve's dorsal section 22 (e.g., at the outer dorsal strip 23). Those having ordinary skill in the art will understand that exemplary wrist braces according to the present invention may employ any lace-redirection mechanisms (e.g., reinforced openings, or external loops, hooks, folded webbing, and/or buckles) in addition to or instead of eyelets.

The shorter exemplary wrist brace 10 depicted in FIGS. 1-5 includes a lacing closure tab 30 through which one or more closure-tab eyelets 31 are formed. The longer exemplary wrist brace 10′ depicted in FIGS. 6-7 includes multiple lacing closure tabs 30′ and 30″ through which one or more closure-tab eyelets 31 are formed. More generally, closure-tab eyelets 31 (or similar openings, such as reinforced holes and/or slots, or other closure-tab lace-redirection mechanisms, such as loops, hooks, folded webbing, and/or buckles) may be formed through or otherwise positioned at or near (e.g., positioned upon) the lacing closure tab(s) 30. Each lacing closure tab 30 includes a mechanism, such as a hook-and-loop fastener, to releasably secure the lacing closure tab 30 to another part of the wrist brace 10. In the shorter exemplary wrist-brace embodiment depicted in FIGS. 1-5, two closure-tab eyelets 31 b, 31 f are formed through or otherwise positioned upon the lacing closure tab 30. In the longer exemplary wrist-brace embodiment depicted in FIGS. 6-7, one closure-tab eyelet 31 b is formed through or otherwise positioned upon the proximal lacing closure tab 30′ and two closure-tab eyelets 31 f, 31 j are formed through or otherwise positioned upon the distal lacing closure tab 30″. The closure-tab eyelets 31 help to ensure that each lacing closure tab 30 remains centered on the U-shaped support sleeve 20 as the lacing closure tab 30 is pulled over and around the closed wrist-brace sleeve 12.

A lace 40 is freely threaded (or otherwise interlaced) though the respective dorsal-panel eyelet(s) 52, palmar eyelets 37, and closure-tab eyelets 31. The lace 40, which typically resists excessive stretching, can move freely to accommodate the typical non-cylindrical anatomy of a patient's forearm in which the arm tapers from the elbow to the wrist (e.g., a frustoconical shape). This free movement of the lace 40 facilitates consistent tension along the lace 40. This even tension is transferred to the respective dorsal-panel eyelet(s) 52, palmar eyelets 37, and closure-tab eyelets 31 through which the lace 40 is interlaced.

Each lacing closure tab 30 is moveably connected to the lace 40. When the lacing closure tab 30 is not releasably secured to another part of the wrist brace (e.g., releasably affixed to the closed wrist-brace sleeve 12), the lacing closure tab 30 can move substantially freely along the lace 40. The shorter exemplary wrist brace 10 depicted in FIGS. 1-5 does not fixedly attach the one lace 40 to the lacing closure tab 30, either fully or partially. Similarly, the longer exemplary wrist brace 10′ depicted in FIGS. 6-7 does not fixedly attach the one lace 40 to the respective closure tabs 30′ and 30″, either fully or partially. Rather, in these exemplary wrist-brace embodiments, the lace 40 may pass substantially freely through each of the closure-tab eyelets 31. As depicted in FIGS. 1-7, each strand of lace 40 from a palmar eyelet 37 to a closure tab 30 is freely threaded through a closure-tab eyelet 31. This “free-floating” closure-tab design enables the patient to readily equilibrate lace tension through the various eyelets (i.e., the palmar eyelets 37 and the dorsal-panel eyelet(s) 52) positioned along the length of the wrist brace in a way that applies substantially consistent compression to the patient's forearm and wrist. The lace 40 and each moveably attached lacing closure tab 30 wrap circumferentially around—rather than helically along—the patient's forearm in a way that uniformly closes and tensions the closed wrist-brace sleeve 12.

Typically, one lace 40 has a first end fixed to the proximal end of the adjustable, outer dorsal panel 50 and a second end fixed to the distal end of the adjustable, outer dorsal panel 50. In an exemplary embodiment, the one or more dorsal-panel eyelets 52 (or similar openings, such as loops, or other lace-redirection mechanisms), such as hooks are positioned between the lace's first fixed end and the lace's second fixed end.

As illustrated in FIGS. 3-5 in which the ends of lace 40 are fixed to the adjustable, outer dorsal panel 50, pulling the lacing closure tab 30 away from the U-shaped support sleeve's palmar section 26 (and over and around the U-shaped support sleeve's dorsal section 22 and the adjustable, outer dorsal panel 50) uniformly closes and tensions the closed wrist-brace sleeve 12 by drawing together the U-shaped support sleeve's palmar section 26 and the U-shaped support sleeve's dorsal section 22. These same considerations apply to wrist-brace embodiments that include multiple lacing closure tabs, such as the proximal lacing closure tab 30′ and the distal lacing closure tab 30″ illustrated in FIGS. 6-7.

Those having ordinary skill in the art will appreciate that the closing mechanisms will differ for wrist-brace embodiments that employ either an adjustable, outer palmar panel or an adjustable, outer ulnar panel instead of an adjustable, outer dorsal panel 50. For example, wrist-brace embodiments that employ an adjustable, outer palmar panel will also typically employ dorsal eyelets. For such wrist-brace embodiments, pulling the lacing closure tab away from the U-shaped support sleeve's dorsal section (and over and around the U-shaped support sleeve's palmar section and the adjustable, outer palmar panel) uniformly closes and tensions the closed wrist-brace sleeve by drawing together the U-shaped support sleeve's dorsal section and the U-shaped support sleeve's palmar section.

Moreover, it is within the scope of the present wrist-brace invention to include one or more external flaps (not shown) on the exterior of the U-shaped support sleeve to facilitate redirection of the lace. For example, in a wrist-brace embodiment employing an outer dorsal panel, a palmar flap having eyelets or other lace-redirection mechanisms can be positioned upon the U-shaped support sleeve's palmar section (e.g., near the stretchable radius panel), and the lace may be guided through the palmar flap's lace-redirection mechanisms (e.g., eyelets), the closure-tab eyelets (or other closure-tab lace-redirection mechanisms), and the dorsal-panel eyelets (or other dorsal-panel lace-redirection mechanisms) to promote even closure of the closed wrist-brace sleeve and to achieve cast-like compression on a patient's forearm, wrist, and hand. Alternatively, in a wrist-brace embodiment employing an outer palmar panel, for example, a dorsal flap having eyelets or other lace-redirection mechanisms can be positioned upon the U-shaped support sleeve's dorsal section (e.g., near the stretchable radius panel), and the lace may be guided through the dorsal flap's lace-redirection mechanisms (e.g., eyelets), the closure-tab eyelets (or other closure-tab lace-redirection mechanisms), and the palmar-panel eyelets (or other palmar-panel lace-redirection mechanisms) to promote even closure of the closed wrist-brace sleeve and to achieve cast-like compression on a patient's forearm, wrist, and hand.

In the shorter exemplary wrist-brace embodiment depicted in FIGS. 3-5, a single lace 40 has (i) a first proximal end fixed to the adjustable, outer dorsal panel 50 nearer the adjustable, outer dorsal panel's proximal end (i.e., a proximal fixation 41 p toward the proximal end of the adjustable, outer dorsal panel 50) and (ii) a second distal end fixed to the adjustable, outer dorsal panel 50 nearer the adjustable, outer dorsal panel's distal end (i.e., a distal fixation 41 d toward the distal end of the adjustable, outer dorsal panel 50). In the shorter exemplary wrist-brace embodiment depicted in FIGS. 3-5, one dorsal-panel eyelet 52 d is centrally formed through or otherwise positioned upon the adjustable, outer dorsal panel 50 between the lace's proximal fixation 41 p and the lace's distal fixation 41 d, and four palmar eyelets 37 a, 37 c, 37 e, 37 g are formed along outer palmar strip 27.

As illustrated in the exemplary wrist-brace embodiment depicted in FIGS. 3-5, the wrist brace 10 includes a compression-enhancing lacing configuration that readily equilibrates (e.g., simultaneously evens) the tension in the lace 40 as the lacing closure tab 30 is extended from the closed wrist-brace sleeve 12. From the proximal end of the wrist brace 10 to the distal end of the wrist brace 10, the lace 40 passes from its proximal fixation 41 p to and through an outer proximal palmar eyelet 37 a, to and through a proximal closure-tab eyelet 31 b, to and through an inner proximal palmar eyelet 37 c, and to and through a dorsal-panel eyelet 52 d. The lace 40 then passes from the dorsal-panel eyelet 52 d to and through an inner distal palmar eyelet 37 e, to and through a distal closure-tab eyelet 31 f, to and through an outer distal palmar eyelet 37 g, and to the distal fixation 41 d.

In the longer exemplary wrist-brace embodiment depicted in FIGS. 6-7, a single lace 40 has (i) a first proximal end fixed to the adjustable, outer dorsal panel 50 nearer the adjustable, outer dorsal panel's proximal end (i.e., a proximal fixation 41 p toward the proximal end of the adjustable, outer dorsal panel 50) and (ii) a second distal end fixed to the adjustable, outer dorsal panel 50 nearer the adjustable, outer dorsal panel's distal end (i.e., a distal fixation 41 d toward the distal end of the adjustable, outer dorsal panel 50). In the longer exemplary wrist-brace embodiment depicted in FIGS. 6-7, two dorsal-panel eyelets 52 d, 52 h are formed through or otherwise positioned upon the adjustable, outer dorsal panel 50 between the lace's proximal fixation 41 p and the lace's distal fixation 41 d, and six palmar eyelets 37 a, 37 c, 37 e, 37 g, 37 i, 37 k are formed along outer palmar strip 27.

As illustrated in the exemplary wrist-brace embodiment depicted in FIGS. 6-7, the wrist brace 10′ includes a compression-enhancing lacing configuration that readily equilibrates the tension in the lace 40 as the lacing closure tabs 30′, 30″ are extended from the closed wrist-brace sleeve 12. From the proximal end of the wrist brace 10′ to the distal end of the wrist brace 10′, the lace 40 passes from its proximal fixation 41 p to and through an outermost proximal palmar eyelet 37 a, to and through a closure-tab eyelet 31 b formed in the proximal lacing closure tab 30′, to and through a central proximal palmar eyelet 37 c, and to a proximal dorsal-panel eyelet 52 d. The lace 40 then passes through the proximal dorsal-panel eyelet 52 d to and through an inner proximal palmar eyelet 37 e, to and through a first distal closure-tab eyelet 31 f formed in the distal lacing closure tab 30″, to and through an inner distal palmar eyelet 37 g, and to a distal dorsal-panel eyelet 52 h. The lace 40 then passes through the distal dorsal-panel eyelet 52 h, to and through a central distal palmar eyelet 37 i, to and through a second distal closure-tab eyelet 31 j formed in the distal lacing closure tab 30″, to and through an outermost distal palmar eyelet 37 k, and to the distal fixation 41 d.

Optionally, the lace 40 passes through one or more lacing channels 42, which may be secured to or otherwise formed in the stretchable radius panel 14. In the shorter exemplary wrist-brace embodiment depicted in FIGS. 3-5, the lace 40 passes through one lacing channel 42 secured to the stretchable radius panel 14 as the lace 40 passes from the outer distal palmar eyelet 37 g to the distal fixation 41 d. In the longer exemplary wrist-brace embodiment depicted in FIGS. 6-7, the lace 40 passes through one lacing channel 42 secured to the stretchable radius panel 14 as the lace 40 passes from the outermost distal palmar eyelet 37 k to the distal fixation 41 d. As will be appreciated by those having ordinary skill in the art, each lacing channel 42 should be positioned to facilitate passage of the lace 40 between the outer palmar strip 27 and the adjustable, outer dorsal panel 50 (or between the outer palmar strip 27 and the outer dorsal strip 23 if dorsal eyelets are formed through or otherwise positioned upon the U-shaped support sleeve's dorsal section 22 at the outer dorsal strip 23). For example, positioning lacing channel(s) 42 at either the distal end or the proximal end of the stretchable radius panel 14, or both the distal end and the proximal end of the stretchable radius panel 14, helps to maintain the proper positioning of stretchable radius panel 14 against the patient's forearm. In practice, securing the lace 40 to the stretchable radius panel 14 via one or more lacing channels 42, typically at the distal end and/or proximal end of a cushioned, stretchable radius panel 14, reduces patient discomfort by preventing the lace 40 from migrating beyond the end of the stretchable radius panel 14 when the wrist brace 10 is compressively and securely applied to the patient's wrist and forearm.

As illustrated in the exemplary wrist-brace embodiments depicted in FIGS. 1-5 and FIGS. 6-7, hook-and-loop fasteners 45 are secured to the surfaces of the wrist brace 10 to facilitate closure of the wrist brace 10 to the patient's forearm, wrist, and hand. For example, loop-fasteners 46 (e.g., loop-fastener strips) can be secured to the outer surfaces of the U-shaped support sleeve 20, typically at the topside dorsal section 22, the ulnar section 24, and the underside palmar section 26, and to the outer surface of the adjustable, outer dorsal panel 50. Hook-fasteners 47 are provided elsewhere on the wrist brace 10, such as on the inner surface of the adjustable, outer dorsal panel 50, on an inner surface of each lacing closure tab 30, and on a surface at the end of the oblique palmar-tensioning strap 16. For example, hook-fasteners 47 applied to the inner surface of the adjustable, outer dorsal panel 50 facilitate releasable affixation to the loop-fastener 46 secured to the outer surfaces of the U-shaped support sleeve 20 (e.g., the adjustable, outer dorsal panel 50 can be releasably affixed to the topside dorsal section 22 and/or the ulnar section 24 via hook-and-loop fasteners). Loop-fasteners 46 applied to the outer surface of the adjustable, outer dorsal panel 50 and the outer surfaces of the U-shaped support sleeve 20 facilitate releasable affixation by each lacing closure tab 30 and the oblique palmar-tensioning strap 16.

As illustrated in FIGS. 1-5 and FIGS. 6-7, the patient may secure the wrist brace 10 to his forearm, wrist, and hand by pulling a lacing closure tab 30 perpendicularly away from the U-shaped support sleeve's palmar section 26 and over and around the U-shaped support sleeve's dorsal section 22 and the adjustable, outer dorsal panel 50. This evenly closes and tensions the closed wrist-brace sleeve 12 by drawing together the U-shaped support sleeve's palmar section 26 and the U-shaped support sleeve's dorsal section 22. Depending on the girth of the patient's forearm, the hook-fasteners 47 on a surface of the lacing closure tab 30 will engage one or more loop-fasteners 46 positioned upon the outer surface of the adjustable, outer dorsal panel 50 and/or the respective outer surfaces of the dorsal section 22, the ulnar section 24, and/or the palmar section 26. The hook-fastener 47 at the end of the oblique palmar-tensioning strap 16 can be releasably secured to the adjustable, outer dorsal panel 50 and/or the U-shaped support sleeve's dorsal section 22 or ulnar section 24.

FIGS. 8-12 depict an exemplary wrist-brace embodiment that can be readily adjusted to accommodate different patient forearm sizes. FIGS. 13-14 depict a similar, but longer, exemplary wrist-brace embodiment that can be readily adjusted to accommodate different patient forearm sizes.

Each of these wrist braces includes more substantial thumb support as compared with the wrist-brace embodiments depicted in FIGS. 1-7. As with the wrist-brace embodiments depicted in FIGS. 1-7, the wrist brace embodiments depicted in FIGS. 8-14 are configured for either a left forearm, wrist, and hand or a right forearm, wrist, and hand. Those having ordinary skill in the art will understand that a left-hand orientation is a mirror image of a right-hand orientation. FIGS. 8-14 illustrate a right-hand orientation. Appendix III includes photographs of an exemplary prototype of the universal wrist brace depicted in FIGS. 8-12, and Appendix IV includes photographs of an exemplary prototype of the longer universal wrist brace depicted in FIGS. 13-14. The description of the shorter wrist-brace embodiment depicted in FIGS. 8-12 typically applies to the longer wrist-brace embodiment depicted in FIGS. 6-7, except as noted in the supporting description, figures, and photographs.

With reference to the exemplary wrist brace 110 depicted in FIGS. 8-12 (and, as noted, the related, longer exemplary wrist brace 110′ depicted in FIGS. 13-14), the wrist brace 110 includes a closed wrist-brace sleeve 112 defining an interior surface and an exterior surface. The closed wrist-brace sleeve 112 is formed by a stretchable ulnar panel 124 connected to a U-shaped support sleeve 120.

The U-shaped support sleeve 120 includes a topside dorsal section 122, a radius section 114, and an underside palmar section 126. The radius section 114, which is designed to extend to the base of a patient's thumb, is contiguously positioned between the dorsal section 122 and the palmar section 126 to define the U-shaped support sleeve 120. The topside dorsal section 122 is positioned opposite the underside palmar section 126, and the radius section 114 is positioned opposite the stretchable ulnar panel 124. Typically, the U-shaped support sleeve 120, which opens to a patient's forearm radius, is substantially inelastic (e.g., formed from flexible, low-stretch material) to help stabilize the patient's wrist and hand.

The stretchable ulnar panel 124, which may be cushioned for the patient's comfort, is affixed to both the U-shaped support sleeve's dorsal section 122 and the U-shaped support sleeve's palmar section 126, thereby closing the gap in the U-shaped support sleeve 120 to form the closed wrist-brace sleeve 112. In addition, the stretchable ulnar panel 124 is typically positioned within the gap in the U-shaped support sleeve 120 to define both an outer dorsal strip 123 and an outer palmar strip 127. More specifically, the outer dorsal strip 123 is defined by the stretchable ulnar panel 124 and an adjacent outer edge of the U-shaped support sleeve 120, and the outer palmar strip 127 is defined by the stretchable ulnar panel 124 and an adjacent outer edge of the U-shaped support sleeve 120.

Exemplary wrist braces according to the present invention can include one or more size-adjustment panels to accommodate different patient forearm shapes and sizes. For example, as depicted in the exemplary wrist braces depicted in FIGS. 8-14, an adjustable, outer dorsal panel 150 (e.g., a size-adjustment panel) is positioned upon the U-shaped support sleeve 120 at or near the U-shaped support sleeve's dorsal section 122. Typically, the adjustable, outer dorsal panel 150 is releasably affixed to the exterior surface of the U-shaped support sleeve 120 (e.g., via hook-and-loop fasteners, such as VELCRO-brand fasteners). Patients can readily change the positioning of the adjustable, outer dorsal panel 150 upon the U-shaped support sleeve 120 to accommodate different forearm sizes. For example, in the exemplary wrist braces depicted in FIGS. 8-14, positioning the adjustable, outer dorsal panel 150 laterally toward the patient's index finger functionally reduces the wrist-brace fitting size, whereas positioning adjustable, outer dorsal panel 150 laterally toward the patient's ring finger functionally enlarges the wrist-brace fitting size. To facilitate this, one or more dorsal-panel eyelets 152 (or similar openings, such as reinforced holes and/or slots, or other dorsal-panel lace-redirection mechanisms, such as loops, hooks, folded webbing, and/or buckles) are formed through or otherwise positioned at or near (e.g., positioned upon) the adjustable, outer dorsal panel 150.

In alternative embodiments, an adjustable, outer palmar panel (e.g., a size-adjustment panel) can be employed instead of (or in addition to) an adjustable, outer dorsal panel 150. An adjustable, outer palmar panel (not shown) is positioned upon the U-shaped support sleeve 120 at or near the U-shaped support sleeve's palmar section 126. Typically, the adjustable, outer palmar panel, which can include a conforming palmar-panel stay, is releasably affixed to the exterior surface of the U-shaped support sleeve 120 (e.g., via hook-and-loop fasteners, such as VELCRO-brand fasteners). Patients can adjust the positioning of the adjustable, outer palmar panel upon the U-shaped support sleeve 120 to accommodate different forearm sizes. Similarly, an adjustable, inner radius panel (not shown) can be positioned upon the U-shaped support sleeve 120 at or near the U-shaped support sleeve's radius section 114.

A thumb-tensioning strap 117 extends from the distal end of the U-shaped support sleeve's radius section 114. The thumb-tensioning strap 117 is positioned between the patient's thumb and forefinger, wrapped around the patient's thumb, and then securely and releasably affixed to the U-shaped support sleeve's radius section 114 (e.g., via hook-and-loop fasteners, such as VELCRO-brand fasteners) and/or the adjustable, outer dorsal panel 150. The thumb-tensioning strap 117 not only helps to position and secure the wrist brace 110 to the patient's wrist and forearm, but also helps to position and secure the support sleeve's radius section 114 against the base of the patient's thumb. Optional padding 118, which is positioned near the thumb-tensioning strap 117, such as upon the U-shaped support sleeve's palmar section 126 and/or the U-shaped support sleeve's radius section 114, provides the patient with enhanced comfort and support. More generally, padding may be applied to the interior surfaces of the closed wrist-brace sleeve 112 to help engage the patient's wrist and hand and to improve patient comfort.

The U-shaped support sleeve 120 and the adjustable, outer dorsal panel 150 can include stabilizing members to limit flexion and extension. In the exemplary wrist-brace embodiments depicted in FIGS. 8-12 and FIGS. 13-14, a longitudinal stiffening dorsal-panel stay 154 is internally secured within the adjustable, outer dorsal panel 150, a longitudinal stiffening radius stay 115 is internally secured within the U-shaped support sleeve's radius section 114, and a longitudinal stiffening palmar stay 129 is internally secured within the U-shaped support sleeve's palmar section 126. As shown in FIG. 8, the radius stay 115 conforms to the shape of the patient's forearm, wrist, and thumb. As shown in FIG. 9, the palmar stay 129 conforms to the shape of the patient's forearm, wrist, and palm. In some wrist-brace embodiments such as depicted in FIG. 10, a longitudinal stiffening dorsal stay 128 may be internally secured within the U-shaped support sleeve's dorsal section 122. Including stays on two or more sides of the wrist brace (e.g., a wrist brace having a dorsal stay, a radius stay, and a palmar stay,) protects against impact forces and helps reduce the likelihood of reinjuring the patient's wrist and hand.

Palmar eyelets 137 (or similar openings, such as reinforced holes and/or slots, or other palmar lace-redirection mechanisms, such as loops, hooks, folded webbing, and/or buckles) are formed through or otherwise positioned at or near (e.g., positioned upon) the U-shaped support sleeve's palmar section 126 (e.g., at the outer palmar strip 127). The shorter exemplary wrist brace 110 depicted in FIGS. 8-12 includes four palmar eyelets 137 a, 137 c, 137 e, 137 g. The longer exemplary wrist brace 110′ depicted in FIGS. 13-14 includes six palmar eyelets 137 a, 137 c, 137 e, 137 g, 137 i, 137 k. Though not depicted in these embodiments, one or more dorsal eyelets (or similar openings, such as reinforced holes or slots, or other dorsal lace-redirection mechanisms, such as loops, hooks, folded webbing, and/or buckles) can be formed through or otherwise positioned at or near (e.g., positioned upon) the U-shaped support sleeve's dorsal section 122 (e.g., at the outer dorsal strip 123). Those having ordinary skill in the art will understand that exemplary wrist braces according to the present invention may employ any lace-redirection mechanisms (e.g., reinforced holes and slots, or external loops, hooks, folded webbing, and/or buckles) in addition to or instead of eyelets.

The shorter exemplary wrist brace 110 depicted in FIGS. 8-12 includes a lacing closure tab 130 through which one or more closure-tab eyelets 131 are formed. The longer exemplary wrist brace 110′ depicted in FIGS. 13-14 includes multiple lacing closure tabs 130′ and 130″ through which one or more closure-tab eyelets 131 are formed. More generally, closure-tab eyelets 131 (or similar openings, such as reinforced holes and/or slots, or other closure-tab lace-redirection mechanisms, such as loops, hooks, folded webbing, and/or buckles) may be formed through or otherwise positioned at or near (e.g., positioned upon) the lacing closure tab(s) 130. Each lacing closure tab 130 includes a mechanism, such as a hook-and-loop fastener, to releasably secure the lacing closure tab 130 to another part of the wrist brace 110. In the shorter exemplary wrist-brace embodiment depicted in FIGS. 8-12, two closure-tab eyelets 131 b, 131 f are formed through or otherwise positioned upon the lacing closure tab 130. In the longer exemplary wrist-brace embodiment depicted in FIGS. 13-14, one closure-tab eyelet 131 b is formed through or otherwise positioned upon the proximal lacing closure tab 130′ and two closure-tab eyelets 131 f, 131 j are formed through or otherwise positioned upon the distal lacing closure tab 130″. The closure-tab eyelets 131 help to ensure that each lacing closure tab 130 remains centered on the U-shaped support sleeve 120 as the lacing closure tab 130 is pulled over and around the closed wrist-brace sleeve 112.

A lace 140 is freely threaded (or otherwise interlaced) though the respective dorsal-panel eyelet(s) 152, palmar eyelets 137, and closure-tab eyelets 131. The lace 140 can move freely to accommodate the typical non-cylindrical anatomy of a patient's forearm in which the arm tapers from the elbow to the wrist (e.g., a frustoconical shape). This free movement of the lace 140 facilitates consistent tension along the lace 140. This even tension is transferred to the respective dorsal-panel eyelet(s) 152, palmar eyelets 137, and closure-tab eyelets 131 through which the lace 140 is interlaced.

Each lacing closure tab 130 is moveably connected to the lace 140. When the lacing closure tab 130 is not releasably secured to another part of the wrist brace (e.g., releasably affixed to the closed wrist-brace sleeve 112), the lacing closure tab 130 can move substantially freely along the lace 140. The shorter exemplary wrist brace 110 depicted in FIGS. 8-12 does not fixedly attach the one lace 140 to the lacing closure tab 130, either fully or partially. Similarly, the longer exemplary wrist brace 110′ depicted in FIGS. 13-14 does not fixedly attach the one lace 140 to the respective closure tabs 130′ and 130″, either fully or partially. Rather, in these exemplary wrist-brace embodiments, the lace 140 may pass substantially freely through each of the closure-tab eyelets 131. As depicted in FIGS. 8-14, each strand of lace 140 from a palmar eyelet 137 to a closure tab 130 is freely threaded through a closure-tab eyelet 131. This “free-floating” closure-tab design enables the patient to readily equilibrate lace tension through the various eyelets (i.e., the palmar eyelets 137 and the dorsal-panel eyelet(s) 152) positioned along the length of the wrist brace in a way that applies substantially consistent compression to the patient's forearm and wrist. The lace 140 and each moveably attached lacing closure tab 130 wrap circumferentially around—rather than helically along—the patient's forearm in a way that uniformly closes and tensions the closed wrist-brace sleeve 112.

Typically, one lace 140 has a first end fixed to the proximal end of the adjustable, outer dorsal panel 150 and a second end fixed to the distal end of the adjustable, outer dorsal panel 150. In an exemplary embodiment, the one or more dorsal-panel eyelets 152 (or similar openings, such as loops, or other lace-redirection mechanisms) are positioned between the lace's first fixed end and the lace's second fixed end.

As illustrated in FIGS. 10-12 in which the ends of lace 140 are fixed to the adjustable, outer dorsal panel 150, pulling the lacing closure tab 130 away from the U-shaped support sleeve's palmar section 126 (and over and around the U-shaped support sleeve's dorsal section 122 and the adjustable, outer dorsal panel 150) uniformly closes and tensions the closed wrist-brace sleeve 112 by drawing together the U-shaped support sleeve's palmar section 126 and the U-shaped support sleeve's dorsal section 122. These same considerations apply to wrist-brace embodiments that include multiple lacing closure tabs, such as the proximal lacing closure tab 130′ and the distal lacing closure tab 130″ illustrated in FIGS. 13-14.

Those having ordinary skill in the art will appreciate that the closing mechanisms will differ for wrist-brace embodiments that employ either an adjustable, outer palmar panel or an adjustable, inner radius panel instead of an adjustable, outer dorsal panel 150. For example, wrist-brace embodiments that employ an adjustable, outer palmar panel will also typically employ dorsal eyelets. For such wrist-brace embodiments, pulling the lacing closure tab away from the U-shaped support sleeve's dorsal section (and over and around the U-shaped support sleeve's palmar section and the adjustable, outer palmar panel) uniformly closes and tensions the closed wrist-brace sleeve by drawing together the U-shaped support sleeve's dorsal section and the U-shaped support sleeve's palmar section.

Moreover, it is within the scope of the present wrist-brace invention to include one or more external flaps (not shown) on the exterior of the U-shaped support sleeve to facilitate redirection of the lace. For example, in a wrist-brace embodiment employing an outer dorsal panel, a palmar flap having eyelets or other lace-redirection mechanisms can be positioned upon the U-shaped support sleeve's palmar section (e.g., near the stretchable ulnar panel), and the lace may be guided through the palmar flap's lace-redirection mechanisms (e.g., eyelets), the closure-tab eyelets (or other closure-tab lace-redirection mechanisms), and the dorsal-panel eyelets (or other dorsal-panel lace-redirection mechanisms) to promote even closure of the closed wrist-brace sleeve and to achieve cast-like compression on a patient's forearm, wrist, and hand. Alternatively, in a wrist-brace embodiment employing an outer palmar panel, for example, a dorsal flap having eyelets or other lace-redirection mechanisms can be positioned upon the U-shaped support sleeve's dorsal section (e.g., near the stretchable ulnar panel), and the lace may be guided through the dorsal flap's lace-redirection mechanisms (e.g., eyelets), the closure-tab eyelets (or other closure-tab lace-redirection mechanisms), and the palmar-panel eyelets (or other palmar-panel lace-redirection mechanisms) to promote even closure of the closed wrist-brace sleeve and to achieve cast-like compression on a patient's forearm, wrist, and hand.

In the shorter exemplary wrist-brace embodiment depicted in FIGS. 8-12, a single lace 140 has (i) a first proximal end fixed to the adjustable, outer dorsal panel 150 nearer the adjustable, outer dorsal panel's proximal end (i.e., a proximal fixation 141 p toward the proximal end of the adjustable, outer dorsal panel 150) and (ii) a second distal end fixed to the adjustable, outer dorsal panel 150 nearer the adjustable, outer dorsal panel's distal end (i.e., a distal fixation 141 d toward the distal end of the adjustable, outer dorsal panel 150). In the shorter exemplary wrist-brace embodiment depicted in FIGS. 8-12, one dorsal-panel eyelet 152 d is centrally formed through or otherwise positioned upon the adjustable, outer dorsal panel 150 between the lace's proximal fixation 141 p, and the lace's distal fixation 141 d and four palmar eyelets 137 a, 137 c, 137 e, 137 g are formed along outer palmar strip 127.

As illustrated in the exemplary wrist-brace embodiment depicted in FIGS. 8-12, the wrist brace 110 includes a compression-enhancing lacing configuration that readily equilibrates (e.g., simultaneously evens) the tension in the lace 140 as the lacing closure tab 130 is extended from the closed wrist-brace sleeve 112. From the proximal end of the wrist brace 110 to the distal end of the wrist brace 110, the lace 140 passes from its proximal fixation 141 p to and through an outer proximal palmar eyelet 137 a, to and through a proximal closure-tab eyelet 131 b, to and through an inner proximal palmar eyelet 137 c, and to and through a dorsal-panel eyelet 152 d. The lace 140 then passes from the dorsal-panel eyelet 152 d to and through an inner distal palmar eyelet 137 e, to and through a distal closure-tab eyelet 131 f, to and through an outer distal palmar eyelet 137 g, and to the distal fixation 141 d.

In the longer exemplary wrist-brace embodiment depicted in FIGS. 13-14, a single lace 140 has (i) a first proximal end fixed to the adjustable, outer dorsal panel 150 nearer the adjustable, outer dorsal panel's proximal end (i.e., a proximal fixation 141 p toward the proximal end of the adjustable, outer dorsal panel 150) and (ii) a second distal end fixed to the adjustable, outer dorsal panel 150 nearer the adjustable, outer dorsal panel's distal end (i.e., a distal fixation 141 d toward the distal end of the adjustable, outer dorsal panel 150). In the longer exemplary wrist-brace embodiment depicted in FIGS. 13-14, two dorsal-panel eyelets 152 d, 152 h are formed through or otherwise positioned upon the adjustable, outer dorsal panel 150 between the lace's proximal fixation 141 p and the lace's distal fixation 141 d, and six palmar eyelets 137 a, 137 c, 137 e, 137 g, 137 i, 137 k are formed along outer palmar strip 127.

As illustrated in the exemplary wrist-brace embodiment depicted in FIGS. 13-14, the wrist brace 110′ includes a compression-enhancing lacing configuration that readily equilibrates the tension in the lace 140 as the lacing closure tabs 130′, 130″ are extended from the closed wrist-brace sleeve 112. From the proximal end of the wrist brace 110′ to the distal end of the wrist brace 110′, the lace 140 passes from its proximal fixation 141 p to and through an outermost proximal palmar eyelet 137 a, to and through a closure-tab eyelet 131 b formed in the proximal lacing closure tab 130′, to and through a central proximal palmar eyelet 137 c, and to a proximal dorsal-panel eyelet 152 d. The lace 140 then passes through the proximal dorsal-panel eyelet 152 d to and through an inner proximal palmar eyelet 137 e, to and through a first distal closure-tab eyelet 131 f formed in the distal lacing closure tab 30″, to and through an inner distal palmar eyelet 137 g, and to a distal dorsal-panel eyelet 152 h. The lace 140 then passes through the distal dorsal-panel eyelet 152 h, to and through a central distal palmar eyelet 137 i, to and through a second distal closure-tab eyelet 131 j formed in the distal lacing closure tab 130″, to and through an outermost distal palmar eyelet 137 k, and to the distal fixation 141 d.

Optionally, the lace 140 passes through one or more lacing channels 142, which may be secured to or otherwise formed in the stretchable ulnar panel 124. In the shorter exemplary wrist-brace embodiment depicted in FIGS. 9-12, the lace 140 passes through one lacing channel 142 secured to the stretchable ulnar panel 124 as the lace 140 passes from the outer distal palmar eyelet 137 g to the distal fixation 141 d. In the longer exemplary wrist-brace embodiment depicted in FIGS. 13-14, the lace 140 passes through one lacing channel 142 secured to the stretchable ulnar panel 124 as the lace 140 passes from the outermost distal palmar eyelet 137 k to the distal fixation 41 d. As will be appreciated by those having ordinary skill in the art, each lacing channel 142 should be positioned to facilitate passage of the lace 140 between the outer palmar strip 127 and the adjustable, outer dorsal panel 150 (or between the outer palmar strip 127 and the outer dorsal strip 123 if dorsal eyelets are formed through or otherwise positioned upon the U-shaped support sleeve's dorsal section 122 at the outer dorsal strip 123). For example, positioning lacing channel(s) 142 at either the distal end or the proximal end of the stretchable ulnar panel 124, or both the distal end and the proximal end of the stretchable ulnar panel 124, helps to maintain the proper positioning of stretchable ulnar panel 124 against the patient's forearm. In practice, securing the lace 140 to the stretchable ulnar panel 124 via one or more lacing channels 142, typically at the distal end and/or proximal end of a cushioned, stretchable ulnar panel 124, reduces patient discomfort by preventing the lace 140 from migrating beyond the end of the stretchable ulnar panel 124 when the wrist brace 10 is compressively and securely applied to the patient's wrist and forearm.

As illustrated in the exemplary wrist-brace embodiments depicted in FIGS. 8-12 and FIGS. 13-14, hook-and-loop fasteners 145 are secured to the surfaces of the wrist brace 110 to facilitate closure of the wrist brace 110 to the patient's forearm, wrist, and hand. For example, loop-fasteners 146 (e.g., loop-fastener strips) can be secured to the outer surfaces of the U-shaped support sleeve 120, typically at the topside dorsal section 122, the radius section 114, and the underside palmar section 126, and to the outer surface of the adjustable, outer dorsal panel 150. Hook-fasteners 147 are provided elsewhere on the wrist brace 110, such as on the inner surface of the adjustable, outer dorsal panel 150, on an inner surface of each lacing closure tab 130, and on a surface at the end of the thumb-tensioning strap 117. For example, hook-fasteners 147 applied to the inner surface of the adjustable, outer dorsal panel 150 facilitate releasable affixation to the loop-fastener 146 secured to the outer surfaces of the U-shaped support sleeve 120 (e.g., the adjustable, outer dorsal panel 150 can be releasably affixed to the topside dorsal section 122 and/or the radius section 114 via hook-and-loop fasteners). Loop-fasteners 146 applied to the outer surface of the adjustable, outer dorsal panel 150 and the outer surfaces of the U-shaped support sleeve 120 facilitate releasable affixation by each lacing closure tab 130 and the thumb-tensioning strap 117.

As illustrated in FIGS. 8-12 and FIGS. 13-14, the patient may secure the wrist brace 110 to his forearm, wrist, and hand by pulling a lacing closure tab 130 perpendicularly away from the U-shaped support sleeve's palmar section 126 and over and around the U-shaped support sleeve's dorsal section 122 and the adjustable, outer dorsal panel 150. This evenly closes and tensions the closed wrist-brace sleeve 112 by drawing together the U-shaped support sleeve's palmar section 126 and the U-shaped support sleeve's dorsal section 122. Depending on the girth of the patient's forearm, the hook-fasteners 147 on a surface of the lacing closure tab 130 will engage one or more loop-fasteners 146 positioned upon the outer surface of the adjustable, outer dorsal panel 150 and/or the respective outer surfaces of the dorsal section 122, the radius section 114, and/or the palmar section 126. The hook-fastener 147 at the end of the thumb-tensioning strap 117 can be releasably secured to either the U-shaped support sleeve's radius section 114 or the U-shaped support sleeve's palmar section 126.

To supplement the present disclosure, this application incorporates entirely by reference the following commonly assigned patent applications: U.S. Patent Application No. 62/257,933 for a Wrist Brace with Enhanced Lacing (filed Nov. 20, 2015); U.S. Patent Application No. 62/400,343 for a Wrist Brace with Enhanced Lacing (filed Sep. 27, 2016); and U.S. patent application Ser. No. 15/355,463 for a Wrist Brace with Enhanced Lacing (concurrently filed Nov. 18, 2016).

In the specification and/or figures, typical embodiments of the wrist-brace invention have been disclosed. The present wrist-brace invention is not limited to such exemplary embodiments. The use of the term “and/or” includes any and all combinations of one or more of the associated listed items. The figures are schematic representations and so are not necessarily drawn to scale. Unless otherwise noted, specific terms have been used in a generic and descriptive sense and not for purposes of limitation. 

1. A wrist brace, comprising: a U-shaped support sleeve having a dorsal section, a radius section, and a palmar section, wherein the radius section is contiguously positioned between the dorsal section and the palmar section, and wherein the palmar section has one or more palmar lace-redirection mechanisms; an ulnar panel connecting the U-shaped support sleeve's dorsal section and the U-shaped support sleeve's palmar section, the ulnar panel being affixed to the U-shaped support sleeve such that together the U-shaped support sleeve and ulnar panel form a closed wrist-brace sleeve; an adjustable, outer dorsal panel releasably affixed to the U-shaped support sleeve on or near the U-shaped support sleeve's dorsal section, the adjustable, outer dorsal panel having one or more dorsal-panel lace-redirection mechanisms; a lacing closure tab having one or more closure-tab, lace-redirection mechanisms; and a lace having (i) a first end fixed to the adjustable, outer dorsal panel nearer the adjustable, outer dorsal panel's proximal end and (ii) a second end fixed to the adjustable, outer dorsal panel nearer the adjustable, outer dorsal panel's distal end; wherein the lace is freely threaded though the respective dorsal-panel lace-redirection mechanisms, palmar lace-redirection mechanisms, and closure-tab lace-redirection mechanisms.
 2. The wrist brace according to claim 1, comprising a thumb-tensioning strap that extends from the distal end of the U-shaped support sleeve's radius section, wherein the thumb-tensioning strap is positioned between a patient's thumb and forefinger, wrapped around the patient's thumb, and then securely and releasably affixed to the U-shaped support sleeve and/or the adjustable, outer dorsal panel when the wrist brace is secured to the patient's wrist and forearm.
 3. The wrist brace according to claim 1, wherein: the lacing closure tab having one or more closure-tab lace-redirection mechanisms is a first lacing closure tab having one or more first closure-tab lace-redirection mechanisms; the wrist brace comprises a second lacing closure tab having one or more second closure-tab lace-redirection mechanisms; and the lace is freely threaded though the respective dorsal-panel lace-redirection mechanisms, palmar lace-redirection mechanisms, first closure-tab lace-redirection mechanisms, and second closure-tab lace-redirection mechanisms.
 4. The wrist brace according to claim 1, wherein: the lace's first end is fixed at the proximal end of the adjustable, outer dorsal panel; the lace's second end is fixed at the distal end of the adjustable, outer dorsal panel; and at least one dorsal-panel lace-redirection mechanism is positioned between the lace's first end and the lace's second end.
 5. The wrist brace according to claim 1, wherein: the palmar lace-redirection mechanisms comprise palmar eyelets positioned on the U-shaped support sleeve's palmar section in an outer palmar strip that is defined by the radius panel and an adjacent outer edge of the U-shaped support sleeve; the dorsal-panel lace-redirection mechanisms comprise dorsal-panel eyelets positioned on the adjustable, outer dorsal panel; and/or the closure-tab, lace-redirection mechanisms comprise closure-tab eyelets positioned on the lacing closure tab.
 6. The wrist brace according to claim 1, comprising: a stiffening dorsal stay secured at the U-shaped support sleeve's dorsal section, the dorsal stay conforming to the shape of a patient's forearm, wrist, and hand; and/or stiffening radius stay secured at the U-shaped support sleeve's radius section, the radius stay conforming to the shape of a patient's forearm, wrist, and hand; and/or a stiffening palmar stay secured at the U-shaped support sleeve's palmar section, the palmar stay conforming to the shape of a patient's forearm, wrist, and hand; and/or a stiffening dorsal-panel stay secured at the adjustable, outer dorsal panel, the dorsal-panel stay conforming to the shape of a patient's forearm, wrist, and hand.
 7. The wrist brace according to claim 1, comprising a lacing channel secured to the ulnar panel, wherein the lace is freely threaded through the lacing channel.
 8. The wrist brace according to claim 1, wherein the lacing closure tab is releasably affixed to the U-shaped support sleeve and/or the adjustable, outer dorsal panel when the wrist brace is secured to a patient's wrist and forearm.
 9. The wrist brace according to claim 1, wherein pulling the lacing closure tab away from the U-shaped support sleeve's palmar section and over and around the U-shaped support sleeve's dorsal section and the adjustable, outer dorsal panel uniformly closes the wrist-brace sleeve by drawing together the U-shaped support sleeve's palmar section and the U-shaped support sleeve's dorsal section. 